Mar 29, 2019
Author: Don Stader, MD
Educational Pearls:
- Non-steroidal anti-inflammatory drugs (NSAIDs) are effective pain relievers but come with important side effects
- NSAIDs inhibit COX-1 and/or COX-2, which decreases the production of prostaglandins, which reduce pain and inflammation
- Side effects of NSAIDS include increased...
Mar 27, 2019
Author: Sam Killian, MD
Educational Pearls:
- Viral gastroenteritis alters the gut microbiome and it is theorized that probiotics may help reduce the duration and severity of the disease.
- Double-blind randomized controlled trial involving almost 900 children with viral gastroenteritis compared 5 days of probiotics to a...
Mar 25, 2019
Author: Dylan Luyten, MD
Educational Pearls:
- A “banana bag” is a bag of IV fluid that contains various vitamins and minerals including folate and thiamine
- IV fluids do not alter intoxicated patients recovery in the emergency department
- Folate deficiency is rare in the intoxicated patient
- Some intoxicated patients...
Mar 23, 2019
Author: Ryan Circh, MD
Educational Pearls:
- Chronic salicylate (ASA) toxicity can present in elderly patients as altered mental status
- Consider chronic toxicity in patients with an unexplained anion gap acidosis
- Treatment for chronic ingestion typically includes IV fluids and urine alkalinization
References:
O'Malley...
Mar 20, 2019
Author: Dylan Luyten, MD
Educational Pearls:
- Recent randomized controlled trial compared intravenous to oral acetaminophen in emergency department patients
- There was no difference in pain relief between the groups
- While the actual acquisition cost of these drugs are not significant, the cost multipliers that are passed...